| NPI | 1669791323 |
|---|---|
| Doing Business As | KINGS DAUGHTERS MEDICAL SPECIALTIES PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | KRISTIE M WHITLATCH CEO/President 606-408-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 208000000X Pediatrics | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2020-11-16 |